Edmond Pediatrics

LBN: Edmond Pediatrics
Edmond Pediatrics is an health care organization with primary practice located at 2109 N Kelly Ave , Edmond OK 73003-3908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Edmond Pediatrics can be contacted via phone (405) 513-8880, or through Krous, Timothy Fredrick via phone (405) 381-8600.

Contact Information

Primary practice address
2109 N Kelly Ave Edmond OK 73003-3908
Phone: (405) 513-8880
Fax: (405) 285-5912
Website:
Map and Directions
Authorized official contact:
Name: Krous, Timothy Fredrick
Phone: (405) 381-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21244 Oklahoma

Profile Details

NPI number 1548505258
LBN Legal business name Edmond Pediatrics
DBA Doing business as
Authorized official Krous, Timothy Fredrick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2012
Last updated Apr 15th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548505258 NPPES
Oklahoma MEDICAID 100208810A

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